US11524969B2ActiveUtilityA1

Pyrrolobenzodiazepines and conjugates thereof as antitumour agents

Assignee: MEDIMMUNE LTDPriority: Apr 12, 2018Filed: Apr 12, 2019Granted: Dec 13, 2022
Est. expiryApr 12, 2038(~11.7 yrs left)· nominal 20-yr term from priority
C07D 519/00A61K 45/06C07D 487/04A61P 35/00A61K 31/5517A61K 47/6803A61K 47/68035
70
PatentIndex Score
1
Cited by
1,064
References
16
Claims

Abstract

A compound with the formula I: (I) and salts and solvates thereof, wherein: R″ is a group of formula II: (II) where each of n and m are independently selected from 1, 2 and 3.

Claims

exact text as granted — not AI-modified
The invention claimed is: 
     
       1. A compound of formula I: 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein: 
         R″ is a group of formula II: 
       
       
         
           
           
               
               
           
         
         where each of n and m are independently selected from 1, 2 and 3; 
         R O  is selected from the group consisting of H, methyl, ethyl, iso-propyl and benzyl; 
         Q C  is selected from N and CH; 
         Y and Y′ are selected from O, S, or NH; 
         when there is a double bond present between C2 and C3, R 2  is selected from the group consisting of: 
         (ia) C 6-10  carboaryl group or C 5-10  heteroaryl group, wherein said C 6-10  carboaryl or C 5-10  heteroaryl group is optionally substituted by one or more substituents selected from the group consisting of: halo, nitro, cyano, —OR, carboxy, —C(═O)OR, C 1-7  alkyl, C 3-7  heterocyclyl and bis-oxy-C 1-3  alkylene, wherein R is selected from a C 1-7  alkyl group, a C 3-20  heterocyclyl group, a C 6-10  carboaryl group or a C 5-10  heteroaryl group; 
         (ib) C 1-5  alkyl; 
         (ic) C 3-6  cycloalkyl; 
       
       
         
           
           
               
               
           
         
       
       wherein each of R 11 , R 12  and R 13  are independently selected from H, C 1-3  alkyl, C 2-3  alkenyl, C 2-3  alkynyl and cyclopropyl, where the total number of carbon atoms in the R 2  group is no more than 5; 
       
         
           
           
               
               
           
         
       
       wherein one of R 15a  and R 15b  is H and the other is selected from: phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl; and 
       
         
           
           
               
               
           
         
       
       where R 14  is selected from: H; C 1-3  alkyl; C 2-3  alkenyl; C 2-3  alkynyl; cyclopropyl; phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl;
 when there is a single bond present between C2 and C3, 
 R 2  is H or 
 
       
         
           
           
               
               
           
         
       
       where R 16a  and R 16b  are independently selected from H, F, C 1-4  alkyl, C 2-3  alkenyl, which alkyl and alkenyl groups are optionally substituted by a group selected from C 1-4  alkyl amido and C 1-4  alkyl ester; or, when one of R 16a  and R 16b  is H, the other is selected from nitrile and a C 1-4  alkyl ester;
 when there is a double bond present between C2′ and C3′, R 2′  is selected from the group consisting of: 
 (iia) C 6-10  carboaryl group or C 5-10  heteroaryl group, wherein said C 6-10 carboaryl or C 5-10  heteroaryl group is optionally substituted by one or more substituents selected from the group consisting of: halo, nitro, cyano, —OR, carboxy, —C(═O)OR, C 1-7  alkyl, C 3-7  heterocyclyl and bis-oxy-C 1-3  alkylene, wherein R is selected from a C 1-7  alkyl group, a C 3-20  heterocyclyl group, a C 6-10  aryl group or a C 5-10  heteroaryl group; 
 (iib) C 1-5  alkyl; 
 (iic) C 3-6  cycloalkyl; 
 
       
         
           
           
               
               
           
         
       
       wherein each of R 21 , R 22  and R 23  are independently selected from H, C 1-3  alkyl, C 2-3  alkenyl, C 2-3  alkynyl and cyclopropyl, where the total number of carbon atoms in the R 2′  group is no more than 5; 
       
         
           
           
               
               
           
         
       
       wherein one of R 25a  and R 25b  is H and the other is selected from: phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl; and 
       
         
           
           
               
               
           
         
       
       where R 24  is selected from: H; C 1-3  alkyl; C 2-3  alkenyl; C 2-3  alkynyl; cyclopropyl; phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl;
 when there is a single bond present between C2′ and C3′, 
 R 2′  is H or 
 
       
         
           
           
               
               
           
         
       
       where R 26a  and R 26b  are independently selected from H, F, C 1-4  alkyl, C 2-3  alkenyl, which alkyl and alkenyl groups are optionally substituted by a group selected from C 1-4  alkyl amido and C 1-4  alkyl ester; or, when one of R 26a  and R 26b  is H, the other is selected from nitrile and a C 1-4  alkyl ester;
 R 6  and R 9  are independently selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NRR′, nitro, Me 3 Sn and halo; 
 where R and R′ are independently selected from C 1-12  alkyl, C 3-20  heterocyclyl and C 6-20  aryl groups; 
 R 7  is selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NHRR′, nitro, Me 3 Sn and halo; 
 R 6′ , R 7′ , R 9′  are selected from the same groups as R 6 , R 7  and R 9  respectively; 
 R 11a  is selected from OH, OR A , where R A  is C 1-4  alkyl, and SO z M, where z is 2 or 3 and M is a monovalent pharmaceutically acceptable cation; 
 and either 
 (a) R 30  is H, and R 31  is OH, OR A , where R A  is C 1-4  alkyl; 
 (b) R 30  and R 31  form a nitrogen-carbon double bond between the nitrogen and carbon atoms to which they are bound; or 
 (c) R 30  is H and R 31  is SO z M, where z is 2 or 3 and M is a monovalent pharmaceutically acceptable cation, wherein if R 11a  and R 31  are SO z M, M may represent a divalent pharmaceutically acceptable cation 
 R L  is a linker for connection to an antibody Or an antigen-binding fragment of an antibody, which is selected from: 
 
       
         
           
           
               
               
           
         
         wherein 
         Q is: 
       
       
         
           
           
               
               
           
         
       
       where Q X  is such that Q is an amino-acid residue, a dipeptide residue or a tripeptide residue;
 X is: 
 
       
         
           
           
               
               
           
         
         where a=0 to 5, b=0 to 16, c=0 or 1, d=0 to 5; 
         G L  is a linker for connecting to an antibody or an antigen-binding fragment of an antibody; and 
       
       
         
           
           
               
               
           
         
         where R L1  and R L2  are independently selected from H and methyl, or together with the carbon atom to which they are bound form a cyclopropylene or cyclobutylene group; 
         and e is 0 or 1; 
         wherein the heterocyclyl group in C 3-7  heterocyclyl contains 1 to 4 ring heteroatoms selected from N, O and S; 
         wherein the heterocyclyl group in C 3-20  heterocyclyl contains 1 to 10 ring heteroatoms selected from N, O and S; and 
         wherein the heteroaryl group in C 5-10  heteroaryl contains 1 to 4 ring heteroatoms selected from N, O and S. 
       
     
     
       2. A compound according to  claim 1 , wherein:
 a) Y and Y′ are O, 
 b) R O  is H or methyl; 
 c) R″ is of formula IIa: 
 
       
         
           
           
               
               
           
         
         where R O1  is selected from the group consisting of H and methyl; 
         d) R 6 , R 9 , R 6′  and R 9′  are H, and R 7  and R 7′  are methoxy; 
         e) R 11a  is OH; 
         f) R 30  and R 31  form a nitrogen-carbon double bond between the nitrogen and carbon atoms to which they are bound. 
       
     
     
       3. A compound according to  claim 1  of:
 (i) formula Ia: 
 
       
         
           
           
               
               
           
         
         where R 2a  and R 2a′  are the same and are selected from: 
       
       
         
           
           
               
               
           
         
         (ii) formula Ib: 
       
       
         
           
           
               
               
           
         
         (iii) formula Ic: 
       
       
         
           
           
               
               
           
         
         wherein R 7a  and R 7a′  are the same and are selected from methoxy and benzyloxy. 
       
     
     
       4. A compound according to  claim 2  wherein R L  is of formula IIIa, and Q is a dipeptide residue selected from:
   CO -Phe-Lys- NH , 
   CO -Val-Ala- NH , 
   CO -Val-Lys- NH , 
   CO -Ala-Lys- NH , 
   CO -Val-Cit- NH , 
   CO -Phe-Cit- NH , 
   CO -Leu-Cit- NH , 
   CO -Ile-Cit- NH , 
   CO -Phe-Arg- NH , and 
   CO -Trp-Cit- NH . 
 
     
     
       5. A compound according to  claim 1 , wherein R L  is of formula IIIa and, a is 0, c is 1 and d is 2, and b is from 0 to 8. 
     
     
       6. A compound according to  claim 1 , wherein R L  is of formula IIIa and G L  is selected from 
       
         
           
                 
                 
                 
               
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL1-1 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL1-2 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL2 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL3-1 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL3-2 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL-4 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL5 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL6 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL7 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL8-1 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL8-2)   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL9-1)   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL9-2 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   G L10   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   G L11   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   G L12   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   G L13   
                 
                     
                 
             
                
               
               
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       where Ar represents phenylene, and X represents C 1-4  alkyl. 
     
     
       7. A compound according to  claim 1 , wherein R L  is of formula IIIb. 
     
     
       8. A conjugate comprising a compound of formula I according to  claim 1 , or a pharmaceutically acceptable salt thereof, linked to an antibody or an antigen-binding, fragment of an antibody. 
     
     
       9. A conjugate of formula IV:
   L-(D L ) p   (IV)
 
 or a pharmaceutically acceptable salt thereof, wherein L is an antibody or an antigen-binding fragment of an antibody, D L  is of formula III: 
 
       
         
           
           
               
               
           
         
         wherein: 
         R″ is a group of formula II: 
       
       
         
           
           
               
               
           
         
         where each of n and m are independently selected from 1, 2 and 3; 
         R O  is selected from the group consisting of H, methyl, ethyl, iso-propyl and benzyl; 
         Q C  is selected from N and CH: 
         Y and Y′ are selected from O, S, or NH; 
         when there is a double bond present between C2 and C3, R 2  is selected from the group consisting of: 
         (ia) C 6-10  carboaryl group or C 5-10  heteroaryl group, wherein said C 6-10  carboaryl or C 5-10  heteroaryl group is optionally substituted by one or more substituents selected from the group consisting of: halo, nitro, cyano, —OR, carboxy, —C(═O)OR, C 1-7  alkyl, C 3-7  heterocyclyl and bis-oxy-C 1-3  alkylene, wherein R is selected from a C 1-7  alkyl group, a C 3-20  heterocyclyl group or a C 6-10  carboaryl or C 5-10  heteroaryl group; 
         (ib) C 1-5  alkyl; 
         (ic) C 3-6  cycloalkyl; 
       
       
         
           
           
               
               
           
         
       
       wherein each of R 11 , R 12  and R 13  are independently selected from H, C 1-3  alkyl, C 2-3  alkenyl, C 2-3  alkynyl and cyclopropyl, where the total number of carbon atoms in the R 2  group is no more than 5; 
       
         
           
           
               
               
           
         
       
       wherein one of R 15a  and R 15b  is H and the other is selected from: phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl; and 
       
         
           
           
               
               
           
         
       
       where R 14  is selected from: H; C 1-3  alkyl; C 2-3  alkenyl; C 2-3  alkynyl; cyclopropyl; phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl:
 when there is a single bond present between C2 and C3, 
 R 2  is H or 
 
       
         
           
           
               
               
           
         
       
       where R 16a  and R 16b  are independently selected from H, F, C 1-4  alkyl, C 2-3  alkenyl, which alkyl and alkenyl groups are optionally substituted by a group selected from C 1-4  alkyl amido and C 1-4  alkyl ester; or, when one of R 16a  and R 16b  is H, the other is selected from nitrile and a C 1-4  alkyl ester;
 when there is a double bond present between C2′ and C3′, R 2′  is selected from the group consisting of: 
 (iia) C 6-10  carboaryl group or a C 5-10  heteroaryl group, wherein said C 6-10  carboaryl group or C 5-10  heteroaryl group is optionally substituted by one or more substituents selected from the group consisting of: halo, nitro, cyano, —OR, carboxy, —C(═O)OR, C 1-7  alkyl, C 3-7  heterocyclyl and bis-oxy-C 1-3  alkylene, wherein R is selected from a C 1-7  alkyl group, a C 3-20  heterocyclyl group or a C 6-10  carboaryl or a C 5-10  heteroaryl group; 
 (iib) C 1-5  alkyl; 
 (iic) C 3-6  cycloalkyl; 
 
       
         
           
           
               
               
           
         
       
       wherein each of R 21 , R 22  and R 23  are independently selected from H, C 1-3  alkyl, C 2-3  alkenyl, C 2-3  alkynyl and cyclopropyl, where the total number of carbon atoms in the R 2′  group is no more than 5; 
       
         
           
           
               
               
           
         
       
       wherein one of R 25a  and R 25b  is H and the other is selected from: phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy: pyridyl; and thiophenyl; and 
       
         
           
           
               
               
           
         
       
       where R 24  is selected from: H; C 1-3  alkyl: C 2-3  alkenyl: C 2-3  alkynyl: cyclopropyl: phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl;
 when there is a single bond present between C2′ and C3′, 
 R 2′  is H or 
 
       
         
           
           
               
               
           
         
       
       where R 26a  and R 26b  are independently selected from H, F, C 1-4  alkyl, C 2-3  alkenyl, which alkyl and alkenyl groups are optionally substituted by a group selected from C 1-4  alkyl amido and C 1-4  alkyl ester; or, when one of R 26a  and R 26b  is H, the other is selected from nitrile and a C 1-4  alkyl ester; R 6  and R 9  are independently selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NRR′, nitro, Me 3 Sn and halo;
 where R and R′ are independently selected from C 1-12  alkyl, C 3-20  heterocyclyl and C 6-20  aryl groups; 
 R 7  is selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NHRR′, nitro, Me 3 Sn and halo; 
 R 6′ , R 7′ , R 9′  are selected from the same groups as R 6 , R 7  and R 9  respectively; 
 R 11a  is selected from OH, OR A , where R A  is C 1-4  alkyl, and SO z M, where z is 2 or 3 and M is a monovalent pharmaceutically acceptable cation; 
 and either 
 (a) R 30  is H, and R 31  is OH, OR A , where R A  is C 1-4  alkyl; 
 (b) R 30  and R 31  form a nitrogen-carbon double bond between the nitrogen and carbon atoms to which they are bound; or 
 (c) R 30  is H and R 31  is SO z M, where z is 2 or 3 and M is a monovalent pharmaceutically acceptable cation, wherein if R 11a  and R 31  are SO z M, M may represent a divalent pharmaceutically acceptable cation; 
 R LL  is a linker for connection to an antibody or an antigen-binding fragment of an antibody, which is selected from: 
 
       
         
           
           
               
               
           
         
         where Q is: 
       
       
         
           
           
               
               
           
         
       
       where Q X  is such that Q is an amino-acid residue, a dipeptide residue or a tripeptide residue;
 X is: 
 
       
         
           
           
               
               
           
         
         where a=0 to 5, b=0 to 16, c=0 or 1, d=0 to 5; and 
         G LL  is a linker connected to an antibody or an antigen-binding fragment of an antibody; and 
       
       
         
           
           
               
               
           
         
         where R L1  and R L2  are independently selected from H and methyl, or together with the carbon atom to which they are bound form a cyclopropylene or cyclobutylene group; 
         and e is 0 or 1; 
         wherein the heterocyclyl group in C 3-7  heterocyclyl contains 1 to 4 ring heteroatoms selected from N, O and S; 
         wherein the heterocyclyl group in C 3-20  heterocyclyl contains 1 to 10 ring heteroatoms selected from N, O and S; and 
         wherein the heteroaryl group in C 5-10  heteroaryl contains 1 to 4 ring heteroatoms selected from N, O and S; 
         wherein p is an integer of from 1 to 20. 
       
     
     
       10. A conjugate according to  claim 9 , wherein G LL  is selected from: 
       
         
           
                 
                 
                 
               
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL1-1 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL1-2 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL2 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL3-1 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL3-2 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL-4 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL5 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL6 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL7 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL8-1 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL8-2)   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL9-1)   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   (G LL9-2 ) 
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   G L10   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   G L11   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   G L12   
                 
                     
                 
                     
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   G L13   
                 
                     
                 
             
                
               
               
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       where Ar represents phenylene and X represents C 1-4  alkyl. 
     
     
       11. A conjugate according to  claim 9 , wherein D L  is of:
 (i) formula IIIa: 
 
       
         
           
           
               
               
           
         
         where R 2a  and R 2a′  are the same and are selected from: 
       
       
         
           
           
               
               
           
         
         (ii) formula IIIb: 
       
       
         
           
           
               
               
           
         
         (iii) formula IIIc: 
       
       
         
           
           
               
               
           
         
         where R 7a  and R 7a′  are the same and are selected from methoxy and benzyloxy. 
       
     
     
       12. The conjugate according to  claim 9 , wherein the antibody or antibody fragment is an antibody which binds to one or more tumor-associated antigens or cell-surface receptors selected from (1)-(88):
 (1) BMPR1B; 
 (2) E16; 
 (3) STEAP1; 
 (4) 0772P; 
 (5) MPF; 
 (6) Napi3b; 
 (7) Sema 5b; 
 (8) PSCA hlg; 
 (9) ETBR; 
 (10) MSG783; 
 (11) STEAP2; 
 (12) TrpM4; 
 (13) CRIPTO; 
 (14) CD21; 
 (15) CD79b; 
 (16) FcRH2; 
 (17) HER2; 
 (18) NCA; 
 (19) MDP; 
 (20) IL20R-alpha; 
 (21) Brevican; 
 (22) EphB2R; 
 (23) ASLG659; 
 (24) PSCA; 
 (25) GEDA; 
 (26) BAFF-R; 
 (27) CD22; 
 (28) CD79a; 
 (29) CXCR5; 
 (30) HLA-DOB; 
 (31) P2X5; 
 (32) CD72; 
 (33) LY64; 
 (34) FcRH1; 
 (35) IRTA2; 
 (36) TENB2; 
 (37) PSMA—FOLH1; 
 (38) SST; 
 (38.1) SSTR2; 
 (38.2) SSTR5; 
 (38.3) SSTR1; 
 (38.4) SSTR3; 
 (38.5) SSTR4; 
 (39) ITGAV; 
 (40) ITGB6; 
 (41) CEACAM5; 
 (42) MET; 
 (43) MUCI; 
 (44) CA9; 
 (45) EGFRvIII; 
 (46) CD33; 
 (47) CD19; 
 (48) IL2RA; 
 (49) AXL; 
 (50) CD30—TNFRSF8; 
 (51) BCMA—TNFRSF17; 
 (52) CT Ags—CTA; 
 (53) CD174 (Lewis Y)—FUT3; 
 (54) CLEC14A; 
 (55) GRP78—HSPA5; 
 (56) CD70; 
 (57) Stem Cell specific antigens; 
 (58) ASG-5; 
 (59) ENPP3; 
 (60) PRR4; 
 (61) GCC—GUCY2C; 
 (62) Liv-1—SLC39A6; 
 (63) 5T4; 
 (64) CD56—NCMA1; 
 (65) CanAg; 
 (66) FOLR1; 
 (67) GPNMB; 
 (68) TIM-1—HAVCR1; 
 (69) RG-1/Prostate tumor target Mindin—Mindin/RG-1; 
 (70) B7-H4—VTCN1; 
 (71) PTK7; 
 (72) CD37; 
 (73) CD138—SDC1; 
 (74) CD74; 
 (75) Claudins—CLs; 
 (76) EGFR; 
 (77) Her3; 
 (78) RON—MST1R; 
 (79) EPHA2; 
 (80) CD20—MS4A1; 
 (81) Tenascin C—TNC; 
 (82) FAP; 
 (83) DKK-1; 
 (84) CD52; 
 (85) CS1—SLAMF7; 
 (86) Endoglin—ENG; 
 (87) Annexin A1—ANXA1; 
 (88) V-CAM (CD106)—VCAM1. 
 
     
     
       13. A composition comprising a mixture of conjugates according to  claim 9 , wherein the average p in the mixture of conjugate compounds is about 1 to about 8. 
     
     
       14. A pharmaceutical composition comprising the conjugate of  claim 8  and a pharmaceutically acceptable diluent, carrier or excipient. 
     
     
       15. A method of treating a mammal having gastric carcinoma, gastrointestinal cancer or leukaemia, comprising administering an effective amount of a conjugate of  claim 8  or a pharmaceutical composition of  claim 14 . 
     
     
       16. A compound of formula REL: 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein: 
         R″ is a group of formula II: 
       
       
         
           
           
               
               
           
         
         where each of n and m are independently selected from 1, 2 and 3; 
         R O  is selected from the group consisting of H, methyl, ethyl, iso-propyl and benzyl; 
         Q C  is selected from N and CH, 
         Y and Y′ are selected from O, S, or NH; 
         when there is a double bond present between C2 and C3, R 2  is selected from the group consisting of: 
         (ia) C 6-10  carboaryl group or C 5-10  heteroaryl group, wherein said C 6-10  carboaryl group or C 5-10  heteroaryl group is optionally substituted by one or more substituents selected from the group consisting of: halo, nitro, cyano, —OR, carboxy, —C(═O)OR, C 1-7  alkyl, C 3-7  heterocyclyl and bis-oxy-C 1-3  alkylene, wherein R is selected from a C 1-7  alkyl group, a C 3-20  heterocyclyl group or a C 6-10  carboaryl or a C 5-10  heteroaryl group; 
         (ib) C 1-5  alkyl; 
         (ic) C 3-6  cycloalkyl; 
       
       
         
           
           
               
               
           
         
         wherein each of R 11 , R 12  and R 13  are independently selected from H, C 1-3  alkyl, C 2-3  alkenyl, C 2-3  alkynyl and cyclopropyl, where the total number of carbon atoms in the R 2  group is no more than 5; 
       
       
         
           
           
               
               
           
         
       
       wherein one of R 15a  and R 15b  is H and the other is selected from: phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl; and 
       
         
           
           
               
               
           
         
       
       where R 14  is selected from: H; C 1-3  alkyl; C 2-3  alkenyl; C 2-3  alkynyl; cyclopropyl; phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl;
 when there is a single bond present between C2 and C3, 
 R 2  is H or 
 
       
         
           
           
               
               
           
         
       
       where R 16a  and R 16b  are independently selected from H, F, C 1-4  alkyl, C 2-3  alkenyl, which alkyl and alkenyl groups are optionally substituted by a group selected from C 1-4  alkyl amido and C 1-4  alkyl ester; or, when one of R 16a  and R 16b  is H, the other is selected from nitrile and a C 1-4  alkyl ester;
 when there is a double bond present between C2′ and C3′, R 2′  is selected from the group consisting of: 
 (iia) C 6-10  carboaryl group or C 5-10  heteroaryl group, wherein said C 6-10  carboaryl group or C 5-10  heteroaryl group is optionally substituted by one or more substituents selected from the group consisting of: halo, nitro, cyano, —OR, carboxy, —C(═O)OR, C 1-7  alkyl, C 3-7  heterocyclyl and bis-oxy-C 1-3  alkylene, wherein R is selected from a C 1-7  alkyl group, a C 3-20  heterocyclyl group or a C 6-10  carboaryl or a C 5-10  heteroaryl group; 
 (iib) C 1-5  alkyl; 
 (iic) C 3-6  cycloalkyl; 
 
       
         
           
           
               
               
           
         
       
       wherein each of R 21 , R 22  and R 23  are independently selected from H, C 1-3  alkyl, C 2-3  alkenyl, C 2-3  alkynyl and cyclopropyl, where the total number of carbon atoms in the R 2′  group is no more than 5; 
       
         
           
           
               
               
           
         
       
       wherein one of R 25a  and R 25b  is H and the other is selected from: phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl; and 
       
         
           
           
               
               
           
         
         where R 24  is selected from: H; C 1-3  alkyl; C 2-3  alkenyl; C 2-3  alkynyl; cyclopropyl; phenyl, which phenyl is optionally substituted by a group selected from halo, methyl, methoxy; pyridyl; and thiophenyl; 
         when there is a single bond present between C2′ and C3′, 
         R 2′  is H or 
       
       
         
           
           
               
               
           
         
       
       where R 26a  and R 26b  are independently selected from H, F, C 1-4  alkyl, C 2-3  alkenyl, which alkyl and alkenyl groups are optionally substituted by a group selected from C 1-4  alkyl amido and C 1-4  alkyl ester; or, when one of R 26a  and R 26b  is H, the other is selected from nitrile and a C 1-4  alkyl ester; R 6  and R 9  are independently selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NRR′, nitro, Me 3 Sn and halo;
 where R and R′ are independently selected from C 1-12  alkyl, C 3-20  heterocyclyl and C 6-20  aryl groups; 
 R 7  is selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NHRR′, nitro, Me 3 Sn and halo; 
 R 6′ , R 7′ , R 9′  are selected from the same groups as R 6 , R 7  and R 9  respectively; 
 R 11a  is selected from OH, OR A , where R A  is C 1-4  alkyl, and SO z M, where z is 2 or 3 and M is a monovalent pharmaceutically acceptable cation; 
 and either 
 (a) R 30  is H, and R 31  is OH, OR A , where R A  is C 1-4  alkyl; 
 (b) R 30  and R 31  form a nitrogen-carbon double bond between the nitrogen and carbon atoms to which they are bound; or 
 (c) R 30  is H and R 31  is SO z M, where z is 2 or 3 and M is a monovalent pharmaceutically acceptable cation, wherein if R 11a  and R 31  are SO z M, M may represent a divalent pharmaceutically acceptable cation; 
 wherein the heterocyclyl group in C 3-7  heterocyclyl contains 1 to 4 ring heteroatoms selected from N, O and S; 
 wherein the heterocyclyl group in C 3-20  heterocyclyl contains 1 to 10 ring heteroatoms selected from N, O and S; and 
 wherein the heteroaryl group in C 5-10  heteroaryl contains 1 to 4 ring heteroatoms selected from N, O and S.

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